KYLA B NIGHOHOSSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

KYLA

Middle

Last Name

NIGHOHOSSIAN

Business Name

KYLA B NIGHOHOSSIAN MD

Original Issue Date

03/22/2018

Effective Date

06/17/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023